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Permit (39) CITY OF TIGARD MECHANICAL PERMIT 11 COMMUNITY DEVELOPMENT Permit#: MEC2019-00246 T I LI AF[7 13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 04/18/2019 Parcel: 2S104BA13300 Jurisdiction: Tigard Site address: 13787 SW MARCIA DR Project: HEDAYATI Subdivision: CASTLE HILL NO.3 Lot: 163 Project Description: Adding(1)gas line for new range. Contractor: OWNER Owner: HEDAYATI, SOHEIL AZADI, SAMAREH AZADI, SAMAREH 13787 SW MARCIA 13787 SW MARCIA DR TIGARD, OR 97223 TIGARD, OR 97223 PHONE: 503-442-3242 PHONE: 503-442-3242 FAX: FEES Specifics: Description Date Amount Range Hood/Other Kitchen 04/18/2019 $33.39 Type of Use: SF Fuel Piping 04/18/2019 $14.15 Class of Work: ALT Type of Const: 12%State Surcharge-Mechanical 04/18/2019 $10.80 Occupancy Grp: Minimum Fee Adjustment-Mechanical 04/18/2019 $42.46 Stories: Fuel Fuel Types: Gas Pressure: Total $100.80 Required Items and Reports(Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952-001-0010 through OAR 952-001-0090. You may obtain a 7y of the rules or direct questions to OUNC by calling 50 232.1987 or 1.800.332.2344. -.9 Issued By: AY, Permittee Signature: /1e, iv! _ Call 503.639.4175 by 7:00 a.m.for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Mechanical Permit Application roi 01+1(i(1. I.SL Oyl.v X77 ,",sur , r City of Tigard • —, - 'r ate/Ba � /� AlP —C421,Z III 13125 SW Hall Blvd.,Tigard,OR 97223 _ Phone: 503.718.2439 Fax: 503.598.1960 H P R 18 2019 „17 ateBevReview Other Permit: Inspection Line: 503.639.4175I I GARD Date Ready/By: Juris: ® See Page 2 for Internet: www.tigard-or.gov Notified/Method: Supplemental Information BUI D ; i" i i '..ii TYPE 4F WORK ., COMMERCIAL FEE* S HItDULE -PSE CHECKLIST Mechanical permit fees*are based on the value of the work ❑New construction gf Addition/alteration/replacement performed.Indicate the value(rounded to the nearest dollar)of all o Demolition 0 Other: mechanical materials,equipment,labor,overhead,and profit. Value:$ CAT1G�lRY OFA CONSTRUCTION RESIDENTIAL EQUIPMENT/SYSTEMS FEES* w` gi1-and 2-family dwelling 0 Commercial/industrial 0 Accessory building For special information use checklist. ❑Multi-family 0 Master builder 0 Other: Description Qty. Ea. Total JOB INFORMOI+I AND LOCATit'1' :.: Heating/cooling: Air conditioning 46.75 Job site address: i 3 71 7- 5 1/V rn C\v.,Lj p { Furnace 100,000 BTU(ducts/vents) 46.75 City/State/ZIP: '; c:\�v c / U t\ / / 7 .2 `_ Furnace 100,000+BTU(ducts/vents) 54.91 U Heat pump 61.06 Suite/bldg./apt.no.: Project name: Duct work 23.32 Cross street/directions to job site: Hydronic hot water system 23.32 Residential boiler(radiator or hydronic) , 23.32 Unit heaters(fuel-type,not electric), in-wall,in-duct,suspended,etc. 46.75 Flue/vent for any of above 23.32 Oth Subdivision: Lot no.: er' 23.32 Other fuel appliances: Tax map/parcel no.: Water heater 23.32 ,rt- :! 1 S RiP'iT©N OF WORK Gas fireplace/insert 33.39 Flue vent for water heater or gas l"�4 1 /95 c� �Tcf 5 /ti} kirk) Cf“-SZ..--. fireplace 23.32 Log lighter(gas) 23.32 Wood/pellet stove 33.39 Wood fireplace/insert 23.32 Chimney/liner/flue/vent 23.32 Other: 23.32 " PROPERTY OWNER TENANT Environmental exhaust and ventilation: Name: e Yi AZcec 1 Range hood/other kitchen 7 g7 �/{ equipment 33.39 • Address: (3 S v/ /<<�( ✓G 1 ca \),,,,,..,7,[4://6.-,.; h Clothes �l {) � dryer exhaust 33.39 City/State/ZIP: 1 ,c_vA.I -9 0 K y / 7 2 G- 3 Single-duct exhaust(bathrooms, toilet compartments,utility rooms) 23.32 Phone:(k) ) i t L.G— 7 2' 2 Fax:( ) Attic/crawlspace fans 23.32 - " Other: 23.32 AP ICANT � � ' ,� D �Co�rra �RsoN�. Fuel piping: Business name: 2 ' '�� ."� ,...." , $14.15 for first four;$4.03 for each additional Contact name: c'64 i<li A . 'k A-Z 0 Furnace,etc. Gas heat pump Address: t 7 7 , 5 vw f)/(, )/L ,°.:;.‘ 9 Wall/suspended/unit heater City/State/ZIP: --r, c c 'd / 0 R / 9'7 2 `e 2j Water heater , Phone:( ,5?) Z.-fr&-/2 .3 2 `. Fax::( ) Fireplace Range E-mail: Barbecue CONTRACTOR Clothes dryer(gas) Business name: C ‘hi Y1 ✓ Other: l MECHANICAL PERF FEES* Address: Subtotal City/State/ZIP: Minimum permit fee($90.00) Plan review(25%of permit fee) Phone:( ) Fax:( ) State surcharge(12%of permit fee) CCB lic.: TOTAL PERMIT FEE This permit application expires if a permit is not obtained within 180 1 days after it has been accepted as complete. Authorized signature: / * Fee methodology set by Tri-County Building Industry Service Board Print name: Co ��Y f t, f-z c(c l Date: fi/ (/) I/i 9 I:\Building\Permits\MEC_PermitApp_040113.doc "w-`ll,.. 440-4617T(11/02/COM/WEB) Mechanical Permit Application - City of Tigard Page 2 - Supplemental Information Commercial& Multi-Family Fee Schedule: Total Valuation: Permit Fee: $0.00 to$500.00 Minimum fee$69.06 $500.01 to$5,000.00 $69.06 for the first$500.00 and $3.07 for each additional$100.00 or fraction thereof,to and including $5,000.00. $5,000.01 to$10,000.00 $207.21 for the first$5,000.00 and $2.81 for each additional$100.00 or fraction thereof,to and including $10,000.00. $10,000.01 to$50,000.00 $347.71 for the first$10,000.00 and $2.54 for each additional$100.00 or fraction thereof,to and including $50,000.00. $50,000.01 to$100,000.00 $1,363.71 for the first$50,000.00 and $2.49 for each additional$100.00 or fraction thereof,to and including $100,000.00. $100,000.01 and up $2,608.71 for the first$100,000.00 and $2.92 for each additional$100.00 or fraction thereof. Note: All new commercial buildings require 2 sets of plans. I:\Building\Permits\MEC_PermitApp_040113.doc 2 City of Tigard Tel: 503.718.2439 Location: Inspection Date: 13787 SW MARCIA DR, TIGARD, OR, 97223 Record Type: Record ID: Residential - Mechanical MEC2019-00246 Inspection Type: Inspector: 699 Mechanical final David Young Result: PASS - NoCofO Comments: Shut off installed at appliance location. Violation Summary: Inspector Contractor